Organization Active NPI

Island Wellness Center, Inc.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1871916767
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ND-0082 Issued in HI
Legal business name
ISLAND WELLNESS CENTER, INC.
Practice address
615 Piikoi St
Suite 1601
Honolulu, HI 96814-3116
Phone
(808) 589-1955
Fax
(808) 589-1712
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ISLAND WELLNESS CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason Yoshio Uchida, N.D.NPI 1780712505
Title
President
Phone
(808) 589-1955

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ND-0082 HI Primary

Addresses

Primary practice location

615 Piikoi St
Suite 1601
Honolulu, HI 96814-3116

Mailing address

615 Piikoi Street
Suite 1601
Honolulu, HI 96814
Phone (808) 589-1955

National Provider Directory

National Provider Directory
Part of
Island Wellness Center Inc

Locations

615 Piikoi St
Ste 1601
Honolulu, HI 96814
Phone (808) 593-1601

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1871916767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PIIKOI STREET",
            "address_2": "SUITE 1601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-589-1955",
            "fax_number": "808-589-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST",
            "address_2": "SUITE 1601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143116",
            "telephone_number": "808-589-1955",
            "fax_number": "808-589-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND WELLNESS CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ISLAND WELLNESS CENTER, INC.",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "UCHIDA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "YOSHIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-589-1955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "N.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "ND-0082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.